Physical Activity Readiness Questionnaire

Name* This field is required.

First Name

Last Name

Today's Date* This field is required.

Date

Has your Doctor ever said that you have a heart condition and that you should only do physical activity recommended by a doctor?* This field is required.

YESNO

Do you feel pain in your chest when you do physical activity?* This field is required.

YESNO

In the past month, have you had chest pain when you were not doing physical activity?* This field is required.

YESNO

Do you lose your balance because of dizziness or do you ever lose consciousness?* This field is required.

YESNO

Do you have a bone or joint problem that could be made worse by a change in your physical activity?* This field is required.

YESNO

Is your Doctor currently prescribing drugs (for example, water pills) for your blood pressure or heart condition?* This field is required.

YESNO

Do you know of any other reason why you should not do physical activity?* This field is required.

YESNO

If You Answered Yes

If you answered yes to one or more questions, are older than age 40, and have been inactive or are concerned about your health, consult a Doctor before substantially increasing your physical activity.

Ask for a medical clearance along with information about specific exercise limitations you may have. In most cases, you will still be able to do any type of activity you want, as long as you adhere to some guidelines provided by your Doctor.

When to Delay an Exercise Program

If you are not feeling well because of a temporary illness, such as a cold or a fever, wait until you feel better to begin exercising.
If you are or may be pregnant, talk with your doctor before you start becoming more active.

If You Answered No

If you answered no to all the PAR-Q questions, you can be reasonably sure that you can exercise safely and have a low risk of having any medical complications from exercise. It is still important to start slowly and increase gradually. It may also be helpful to have a fitness assessment with a personal trainer in order to determine where to begin.

Keep in mind that if your health changes so that you then answer "Yes" to any of the PAR-Q questions, you must tell your Doctor and update Energise Health & Fitness Limited. You may need to change your physical activity routine.

Physical Activity Readiness Questionnaire